Loading...
PRE 2010 DOCSCity of Fridley, Nfinn. BUILDING PERMIT 1° 5512 Date: Owner: Builder Address Address LOTION 05ru DING No. Street `�'' Part o Lot - - — Lot _ Bl Addition or Sub -Division _ ��,�'�'-�'1�'� Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Mf ' -11, Front Depth Height �Y L Sq. Ft. �I r� - Ca F Vrd;t. Fron Depth Het Sq. Ft. __ -_ Cu. Ft. Type of Construction 3.� Ft. Cost �a % "To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $...O j-' , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation y of the provisions of said ordinances. �A - "' .g 1WBuiiding Inspector 9 �0 S NOTICE.- This OTICE:This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR. BUnDING PERMIT CITY OF FRIDLEY, DUME.SOTA Owner's Name Builder Address Address LOCATION OF BUILDING I No. Street _t of Lot......_. Lot Block `7' Addition or Subdivision Corner Lot = side Lot Setbacks aide -Yard SEWER ELEVATION FOUADATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: / / A, ��e _ ,_ _ V6"^ �+. ZIZ4 ilnanfh Y Raiah+. Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DAA SIGNATURS as (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and Heating. Cooling. Ventilation, AeMgeraflon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00 .each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 840 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour ........................ 5.00 $ 5.00 over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 14.50 ROUGH -f 'e _/ X/ 1 -Al FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, . inn- 9-19 19 60 Owner Paul Sehwaartzi Construction Company Fr. Kind of Building Res. Used as To be completed about 10-19-61 Estimated Cost, $ 500.00 Old—New. Building Permit No. f DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No__1_ Trade Name Westinghouse Size No GU&100 Capacity. Sq. Ft. E.D.R- 100 BTU . H.P. 459631 Gas Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. FRED V®GT & CO. Signed HEATING & AIR CONDITIONIN3 By 6530 West Luke . . We. 9-6767 St.NI outs Park, Minnesota az 2M 7-59 Business Phone o (REMARKS -OVER) a City of Fridley APScation for Plumbing and Gas Mting Pem* Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location.T-OVCrtOn Dr' r PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures 7 x $1.50 $ 10.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) x 2.00 $ 2.00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1 50 1st 3 Fixtures .......................... x $1.50 $ • Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 14'.00 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do All work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mann August 28 - 1961 owner Paul Schwartz Const. Co Kind of Building Frame Used as Dwelling To be completed about Nov. 30t6l Estimated Cost, $ 800.00 /'J'7 Q__ 444=9- Old—New. Building Permit No lap-- Permit No. signed STAND"' PLUMBING I AMIREC"rL C' By ` P Business Phone No L'Ve 8 3589 ROUGH–1 '-/Y FINAL az 2M 7-99 �it �� 2 � O �%f K N 8� Z let ei 7o (Zyi • • WATER HTR. GAS ELECp F- -o °�wz� g° O ! Base 1 1 l 1st 1 1 1 1 1 is os 1 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer * New Fixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures 7 x $1.50 $ 10.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) x 2.00 $ 2.00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1 50 1st 3 Fixtures .......................... x $1.50 $ • Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 14'.00 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do All work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mann August 28 - 1961 owner Paul Schwartz Const. Co Kind of Building Frame Used as Dwelling To be completed about Nov. 30t6l Estimated Cost, $ 800.00 /'J'7 Q__ 444=9- Old—New. Building Permit No lap-- Permit No. signed STAND"' PLUMBING I AMIREC"rL C' By ` P Business Phone No L'Ve 8 3589 ROUGH–1 '-/Y FINAL az 2M 7-99 City of Fridley, Minn. BUILDING PERMIT Date: dune 10, 1965 W? '7839 Owner: Richard Tomczak Builder Andrew Krutzig Address 999 9yoxIon Drive IIT. Ee Address No. ,7,ee _.Drive LOCATION OF BUILDING No. 9_ Street Overton Drive N. E• .Part of riot Lot 12 Block 4 Addition or Sub -Division Brookview Terrace, 2nd Add* Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation To be Used as: Type of Construction DESCRIPTION OF BUILDING Front Depth Height Sq. n Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Fust. Cost $MW. M To be Completed Storm repair: House and Garage In consideration of the Issuance to me of a permit to construct the building described a e gree to do the proposed work In accordance with the description above set fob i compliance � ons of ordinances of the city of Fridley. // In consideration of the payment of a fee of1S 0.44 , permit Is hereby granted to Andrew Mnt-zi to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, In all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving ofbuildings wiorthi nthe city limits and this permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen NOTICE fhb peeodt deft not emu the eondmegon, imtsllslion for WhbM phmblne, eft hen&& sewn or wdw. Be aro to ase the BWMhW io"Wder for "pent• permits for these Berta. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, mn=SOTA�, OWNER SHAME -a > N y ' �$ BUILDER- �` , e-4". r i� ADDRESS /` ��2/J ADDRESS w LOCATION OF BUILDING No. StreetPart of Lot LOT. BLOCK ADDITION 01 SUBDIVISION Corner Lot Inside LOT Setback Side Yard SEWER ELEVATION'.__- FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 1 DESCRIPTION OF.BUILDING To be use as: 6�' cap, _ t="- e� L'/' ��� 1 01 4 kv Ao-� i, ✓ Sq. FAwl t. Cu. Ft. ic*j L Front Depth Height iA-eJ Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for'the• work herein specified, agreeing to do all.,work in strict accordance with the City of Fridley Ordinances and rulings.of the Department of'Buildings., and hereby declares that all the facts and representations stated in this appl'icationt-are true and correct s L/.. 4 � �� DATE ��� SIGNATURB� ��' . _ (Sch ule of Fee Coats can be found on the Reverse Side). APPLICATION FOR BUILDING PERMIT 3 CITY OF FRIDLEY,-MINNESOTA OWNER'S NAMMEC`��rr,,�� /`��, �� . = BUILDER ADDRESS -V No L - Corner Lt :SEWER ELI Applicant Q building To be use ---- - - - - Type of . C - --- - - - - To be com-- ---- - ---- - - - = -- - - _ The under ed, agreeing - ----- - --- - - and rulin s and reprer- --- - - - - - SUBJECT PER of Fridley 163.7 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T rpCity RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r ; PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/8/81 JOB ADDRESS 999 Overton 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 1 BrookvieW Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Tomczak 999 Overton 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jim Coultbv Construction 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE C NSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 11 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement bath and remodel upstairs bath 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 6,000 3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMITFEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE LOCAL LAW REGULATING CON- 56.50 ST CTION OR THE P AN OF ONSTRUCTION. PLAN CHECK FEE TOTAL FEE p 59.50 SIGNATURE OF CONTRACTOR OR AUTNOR12ED AGENT (DATE) PROPERLY VALIDATED THIS IS YOUR PERMIT '40N a BLDG INSP _ ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDLIMAL BUILDING PERMITS (Nw, Alterations, Additions, or Repairs) 0WIIER: 0 er I ) b V A Q_ 2— _K BUILDER: ADDRESS: �9 V C? Y'I ADDRESS: /J ®x TEL NO: TEL NO: Construction Location • STREET NO: 917 STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION S'YHFront: �wiod e u,_ Square. Feet: PDC�� k - Front: Depth: Cubic Feet: Height: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: !L00 d k To Be Completed: 7- ;�LO 'U Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ 6 00 Q Alt. A Alt. B SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the work herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in th D1%TE: 2 - z — ?/ S Stipulations: 3, ®o dc,, so SUBJECT City of Fridley 7 CEDOEWT-. AT THE TOP OF THE TWINS BUILDING PERMIT r0 • _ ____ COMMUNITY DEVELOPMENT DIV. ~ I r PROTECTIVE INSPECTION SEC. 1 I NUMBERTREV. DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 �' 7 ® / / JOB ADDRESS 999 Overton Drive I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 4 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob T=zcak 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ron Pearson 741 Kennaston Drive 571-7224 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Brick veneer on dwelling on existing ledge 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2, 000 1.00 WITH WHETHER SPECIFIED HEREIN OR OT. THE GRANTING OF A PERMIT DOES NOT P ME TO GIVE AUTH Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER STAT R LOCAL LAW REGULATING CON- 32.50 S RUCTI O THE PERFO F CONSTRUCTION. P AN CHECK FEE TOTALFEE 33.50 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PER IT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG INS ATE NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: (gC'C'4t-4' '0 Ml Legal Description: Owner Name i Address : �C:U_ Tel. # Contractor: /Ute'7Z;t2 2�%(-1-�MpuFtSram (2r Tel. # y 2/_7azY Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER /a4/ C /< !i��1 0 /�GU�ZG/.U� �✓l� ? �� _ G�Dl' Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: t%J Estimated Cost: $ Approx. Completion Date: /v_ 9), Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: ~ APPLICANT: �w Tel. -7 72-2 7-� CITY USE ONLY E']rN Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ �cC� U $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer !lain Charge $ �-.� Agreement Necessary [ ] Not Necessary [ ] TOTAL s �3 STIPULATIONS: r SUBJECT � PER City of Fridley G 20126 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � U COMMUNITY DEVELOPMENT DIV. INSPECTION S( O e PROTECTIVE SEC. -(J o "1 CITY HALL FRIDLEY 55432 ,'' NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/25/89 JOB ADDRESS 999 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 Brookview Terrace 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Tomczak 999 Overton Drive N.E. 571-2802 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Marsnik Construction Inc. 2647 McKinley Street N.E., Mpls. 55418 789-3506 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x 104 Garage Addition 9 CHANGEOFUSEFROM TO STIPULATIONS 7 foot rear yard setback approved by Council on 7/10/89. Permit approved with stipulation that future accessory buildings shall be limited to a maximum 100 square feet in size. Provide a hard surface driveway. WARN"UNG SEPARATE PERMITS Before digging call for WIRING,�EATING� FPR PL.UQQDIRED all utility locations JNG AND SlCiNS. REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3, 500 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A Y OTHER STATE OR LOCAL LAW REGULATING CON- $63.00 STRUCTION O PE RM CE OF NSTRUCTION. PLAN CHECK FEE TOTALFEE f $64.75 SIGNA UREOFCONTRACTOR0.AUTMORIZEDAGENT ID TEI [tWZHENPROPERLY V DATED YOUR PERMIT IS /j I �" fS BLDG INSP Q 9f1ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI r NEW [ ] ADDN [4'J ALTER [ ] I-1 AND R-2 Building Permit Application Effective 5/1/88 Legal Descripticin: Owner Name & Address: Kob %c:eA K Tel. # 571- �IPOO)— Contractor: . del.# 7ee �� t Attach to this application, a Certificate of Survey of the lot, with the prcposed canstn=t.ian drawn on it to scale. ffi6- OF II�l�AII�4�T1' zavnqG : GARnqE �,Letxlth _ Width Height Sq. Ft. length _ Width /0 Height Sq. Ft. .2y0 DEM AM: Iength _ Width Hgt/Qmund Sq. Ft. o7M: Oorner Lot Dd Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $_j� Approx. Completion Date: _ 2J Szd Proposed Driveway Width If New Opening Is Desired: Ft. $ $. Width + 6' See Back Page DATE: q APPLICANT: �t�I �l K® Tel. # My USE a�aar Permit Fee $ e66 State Surd arge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ N•'),6 Cls ISOU STIPULATIONS: Fee Schedule an reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. 'B" Above Fee Determined by MVineering Agreanent Necessary [ ] Not Necessary [ ] 3J; 00taT� �✓ � `� Q � (� ,�-, � ,-moo �-� �m,��o 1N Sl Z�7 . • � r ♦ 11anyS• fohitsool carve ors Cer"f'"te ssoi�iaofes _ . c.1•c� .. Scilwa�rt � ��c�rsls�Lt,�c-,U;c,r_ L ,, • A 10681 rea"Ce •,►t. OOY,M YtMMt�rOl10 a0. YIMM��Ot• MARRY 96 10FiNSON rusio0_ 6.8100 *0ReRT 1. MEREDITH • v �l tto�r '-A- ow: 9 ail 444 1 T- - - - - -11.61 , [ycloo� fe�to 1 a25'�1�C 14 � 9�l i ia7 �f ' 4-141 ! t./ �-VIi� �li �r•�f�.-dwd f��_•�__r I j�'•' .•s t�.�• ..:'-S "+— .r.•�J ,• —�f SRO OK U�9;F.G!•�'�jt , 'uP'� �'tr.r• 4L Ata '•. a# Ay�y�, ?+.'!a► , -, 1:''� ..i;. �, ae s �''�.•y:•s�•..�„_v'i%y±tel > �,..T Y� •+i'i"tsr SITE PLAN SUBJECT PE City of Fridley 2 70 390 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 � _ COMMUNITY DEVELOPMENT DIV. tr -.--� , 77 � PROTECTIVE INSPECTION SEC. � 1 1 CITY HALL FRIDLEY 55432 NUMBED FIEV. DATE PAGE OF APPROVED BY IL....A,� j 612-571-3450 910-F15 5/25/90 JOB ADDRESS 999 Overton Drive N. E, 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Tomczak. 999 Overton Drive.N,E, 571-2802 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mark Shaw-Construction 1351 p- 66th.Avenue N.E. 571-3814 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. e USE OF BUILDING Residential 7 CLASS OF WORK O NEW ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12R x 3W Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations.- on plan, f7 d� 4 c311 for X61 x£.14 locations 454.0002 ID BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2, 550 $1.28 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _ 5"-S225 -gel 4 $55.28 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI y(VHEN PROPERLY VALIDATED THIS IS YOUR PERMIT v BLDG INSD BATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEV [ ] Effective 1/1/go ADDN ( R-1 AND R-2 AMER [ ] Building Permit Application Construction Address: 1 1 e ►®tom r J o LegalDescription: OwneLNam. &Address: , r el. Contractor: �G �`�/—�,� c,� �ar�, 'Pel. Address: Z267 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIIJG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length ) 2 Width ,firr Hgt/Ground _ Sq. Ft. 19 O7MM: M d)��� Corner Lot [.] Inside t [�] Yd Setback ` Side Yard Setbacks Type of Construction: C ,?o®�� ���e, Estimated Cost: $_-ji� z Approx. Completion Date: if _ fa Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: s j 06--- APPLIaIN'I': :2� Tel. # S -t-1 " 31r) l Permit Fee State Surcharge SAC Charge Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ap�cn -�.+�1 �""S 6 feet %—L' I,,2de 11 tion � cr "NATIM -- ts $15.71• 30 -Cn to loaf fatt•�l be jsstaed e Prc'�'of 24 re�iee, of 2�0 fpm Hifi d f Alt N�.0: %'' G• Q 066r, 46/ C 0 d al tv • 9 �..... ,'! - �"!°''Z'vra�„d,.s' per; ;. IPdt ,;►���' dd4IIw doll IF .i �'• _��.r. •w • - �' � s. •L• •-•�it =•Qin � .�� '�'.�F'.. i � � 'Lie • _ - :� afk• . i•1 � i �: • • •� �% - -� - _ `!' ^ )- � � -' .�'•s'`.T'" '•� ��. ,•ot tom' ,�Lj i�~�t, w�� � � '_ •• .. IP J , 1r6,� ti Nk • fair to, a P �+ E ' ii 1. r i pr s�1• I / / A- I MLC7Y71r '1 LtlitilOr ee�e•e oesawa NOSNMOr 10 A�I�IVI� ••ae�swr�w •ee e��o��srr�w Maeee •swe sar�ee �tee� •i . . •+7 7t; nor, I►srrY. S d 1110SA WFTAWAV,/ t Nk • fair to, a P �+ E ' ii 1. r i pr s�1• I / / A- I MLC7Y71r '1 LtlitilOr ee�e•e oesawa NOSNMOr 10 A�I�IVI� ••ae�swr�w •ee e��o��srr�w Maeee •swe sar�ee �tee� •i . . •+7 7t; nor, I►srrY. S d 1110SA WFTAWAV,/ t SUBJECT .- PERM City of Fridley 21412 AT THE TOP OF THE TWINS ? BUILDING PERMIT r -REGfiW-T4Q--` _ , COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. L CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY ''' 612-571-3450 910-F15-71 6/1R/92 JOB ADDRESS 999 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 B.rookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Tomczak 999 Overton Drive NE 571-2802 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Storm Sash Co Inc 10825 Greenbrier Rd, Mtka MN 55343 546-8160 3090 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace sashes 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,128 $.56 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.00 Fire SC $1.13 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $35.69 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, MVHENR/P7R Y ALI TED THIS IS YOUR PERMIT / BLDG INSP V _/1 -3w GATE SiGNATURE OF OW N ER OF OWNER BUILDER$ IDA TEI NEW Effective 1/1/91 ADDN [ ] �' CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 99g W, Legal Description: Owner Name & Address: Tel. f4` ' Contractor: 7MN CITY STORM SASH CO., SNC. Tel. it Address: MINNETONKA, MINNESOTA 55343 Attach to this application, a Certificate of Survey of the lot, - with the proposed construction drawn on it to scale. DESCRIPTION OF D"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgVGround Sq. Ft. OTHER: iia Corner Lot [ ] -Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $L , a Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: I S - q a ea■ . ft*) =S APPLICAY Tel. Permit Fee $ 49, e7C` Fee Schedule on Reverse Side Fire Surcharge $ 1,1_3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.5041,000 Valuation 4A 3w $ $650 per SAC Unit le SE t5e Driveway Escrow $ Alt. 'A' or Alta 'B' Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL STIPULATIONS: $ 9 City of Fridley AT THE TOP OF THE TWINS ?-IPT SuB�ECT BUILDING P E R M I T PER O. 6 14 I COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 612-571-3450 NO. NUMBER 910-F15 REV -DATE 7/24/98 PAGE OF APPROVED BY JOB ADDRESS 999 Overton Dr 1 LEGAL DESCR. LOT NO. 12 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Brookview Terrace 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRES$ ZIP PHONE Robert Tomczak571-2802 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quality Contra427-7711 7niq 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 21 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 27 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING MOT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $2251 SURTAX $1.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU TI OR TPERFORM CE OF CO TRUCTION. $74.75 Fire SC 2.25 PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.12 SIGNA u EOF CONT FACTOR OR AUTHORIZED AGENT (DATE HEN PROPERLY BLDG IPSP V DATED THIS IS YOUR PERMIT GATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: V 9 0 o -Pv -�d C/"e Legal Description: Owner 1, Contract Address: Effective 111/98 Tel. #7( MN LICENSE # Tel. # 7— 77 -S Attach to this application, a Certificate of. Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lermth Width Hgt/Ground Sq. Ft. OTHER: •C2 -S -9 Construction Type: -rzPQ a -i —VY Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # �? ';7 STIPULATIONS: CITY USE ONLY Permit Fee $ °�S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ C 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL $� STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (763) 571-1237 ADDRESS : 999 OVERTON DR NE PIN : 133024220067 LEGAL DESC : BROOKVIEW TERRACE 2ND ADD : LOT 12 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00720 b age' DATE ISSUED: 05/19/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A 20 AMP CIRCUIT FOR FRIDGE. # INSPECTIONS 1 APPLICANT TOTAL ELECTRIC INC 11967 ELDORADO ST NE BLAINE, MN 55449-7907 (763)786-8484 OWNER TOMCZAK ROBERT R & DONNA M 999 OVERTON DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 12887 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JUL.12.2006 2:59PM BUILDERS/RE=MODELE:RS ' N©.991 P.1/2 d Il ALTER Construction Address: Legal Description: — ovmer Name & Add Contractor. t::iTY OF FRIDLEY 601 Llnnret-nitY Ave Nig, Fridley, MN 55432 SiNGLE lFAIIIIII.X AND DUPLIMS R-1 AND R-2 BUILENNG PERMIT'APPLICATION p(fec#ve 4/1/2004 (763) 57243504 Bldg insp (763) 571-1287 Fax C -Z pad Cl wel'i rE armor ►Aon e Tel.# V1– 2P92 VIC MN LICENSE # DCS Uttl R Tel, # � — Attach to this appliaiflan, a Cerdficate Cf Surrey of thS bt, frith the propoved mnstruation draw -1 on it to scale. DESCRIPTION OF IMPROVEMENT Lnn4G AREA: i-angth widvl _• Height_,_ Sq. Ft GARAGE ARBA: length WTVI _• Height Sq. Ft - IDEClt ARi=A: Length v1101 _.�. HgVGround Sq. Ft, . � 1.a yE� ire+• bFF � 1� S� � � % �) Construction Type: /�/+�oc��yw+' _--• Estimated Cost: `�� Wvway Curb Cot Width Needed; --Ft + III Fri -Ft x $I— DATE: % 1 APFi iCANTt .,,i0&2 Tel. IV.. ea/ Lail (763) 572-3604 for Permit Fees if (mailing tri applJoNon. Fax to 763.571.1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cult Escrow Erosion Control Park Fee Sewer Main Charge t;;rrlr USE ONLY- Permit NLY- F(:e Schedule an Reverse Side 6;50,1) of Permit Fee .00.1 of PerMRValuation (1110th%) $,5ol$1,000 Valualion $13:50 per SAC Unit !i,Cio (SWe i_icensed Residential Contractors) Alt. "A" or Aft. " B" Above $►eP,5100 Conservation Plan Review Free, Determined bi/ Engineering Agreement Necessary f ] Not Necessary [ ] TOTAL $ t o -17 3MPIJLA t NS: Building PLUMBING Permit No.. a0�- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE August 31, 2007 YOUR E-MAIL ADDRESS wnelsonO SITEADDRESS 999 Overton rive NF THIS APPLICANT IS: O OWNER ®CONTRACTOR PROPERTY NAME* Robert Tomczak ADDRESS: 999 Overton I)riye NF crTY Fridley STATEMN zip 55432 OWNER/ TENANT PHONE: 763/571-2802 CONTRACTOR NAME: Larson Plumbing, Inc. STATE LICENSE # 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304 LICENSE WITH PHom 763/427-7680 FAX 763/427-9448 APPLICATION PERAHT TYPE IR SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW ® REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500,00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 — $15.00. Labor cost between $300 to $500 =cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED 0N$] 0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ ,_,_FLOOR GAS PIPING pv&o C/77 LICENSE) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($13) _ DISHWASHER _ LAUNDRY TRAY ) WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER �Y+"r"'S Y:� <A' ,n`. x,f 3'� ?¢ %.,y�e .t� .1.•�"^ti�tC1iJ�t e��.•. fi, .. ` + . P£I2Nfi�'�.FIE����3ECT��;OR."i��p'F..1��`�:11b,�.,.,..:. F��._ �..... ..�.......<......., :.:<...,{ ...rtiv....::.:.�� ..��?E�;�I,F.E�FO`R'p���... •; 0...: R,$�00'' Permit Fee. $_35 . 00 Number of fixtures @ $10.00 x $10.00 = $ Surchar ie .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE 35 ._5L State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PE ,19 T NOT VALID UNTIL PROCESSED 1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the casRK caseall work whi review and approval of plans. Cequires SIGNATURE OFAPPLJCAN PR.INTNAME Michael Malinoski DATE 8/31/07 1'L EEN- �L.ti�S�NVWA- ~�.: _.:���YCAl,31J0 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building (VP AILS' C tl" IUAL Inspections ("V- RESIDENTIAL APPLICATION Received By:, 7.63-572-3604 CITY OF FRIDLEY Date Recd: I -t DATE - YOUR E-MAIL ADDRESS sITEADDRESS2L_ C�\s �� ��i'1 NE THIS APPLICANT IS: ❑ OWNER 11CONTRACTOR PROPERTY NAME: 00fACIS�0 2,0 k ADDRESS: PA e'r A 0 r1 CITYr i � STATE�'1�GIP!-a S� OWNER/ TENANT PHONE: �1 �3- S i t 2S0 a CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 13562 CENTRAL AVE NE CITY ANOKA STATE MKrp 55304 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 PERMIT TYPE 7 XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW KREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK --r PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: U00 SIZE/BTU Equipment InstalledMFG: MFG: MODEL: Go'lIA SIZEBTU ;Z ---4 MFG: MODEL: SIZEBTU ,_A/C $25.00 _FIREPLACE (GAS) $15.00 —GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _ — BOILER $35.00 FURNACE $35.00 —GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 —GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 ~ Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 k x $25.00 = $ ;Z5 CD Number of fixtures @ $35.00 j_ x $35.00 = $ !7'5,C0 State Surcharge = $ .50 Total = $_e00 _50 THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and -I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLI�K ° A PRINT NAME ROGER ROFFHEIN DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432